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Definition
| the collection of data about an individuals health state |
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| the western european/north american tradition that views health as the absence of disease |
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| a complete health history and full physical examiniation |
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| simultaneously problem-solving while self-improving one's own thinking ability |
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| a method of collecting and analyzing clinical information with the following components: 1) attending to initially available cues 2) formulating diagnostic hypothesis 3) gathering data relative to the tentative hypothesis 4) evaluating each hypothesis with the new data collected, and 5) arriving at a final diagnosis. |
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| rapid collection of the database, often compiled concurrently with lifesaving measures. |
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| the total of all the conditions and elements that make up the surroundings and influence the development of a person |
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| a systematic approach emphasizing the best research evidence, the clinicians experience, patient preferences and values, physical examination, and assessment |
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| one used for a limited or short term problem; concerns mainly one problem, one cue complex, or one body system |
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| used in all setting to monitor progress on short term or chronic health problems |
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| the view that the mind, body, and spirit are interdependent and function as a whole with the environment |
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used to evaluate the cause and etiology of disease; focus is on the function or malfunction of a specific organ system
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used to evaluate the response of the whole person to acutal or potential health problems
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| a method of collecting and analyzing clinical information with the following components: 1) assessment 2)diagnosis 3) outcome identification 4) planning 5)implementation 6) evaluation. |
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Definition
| what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination |
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| any action directed toward promoting health and preventing the occurance of disease |
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| what the person says about himself or herself during history taking |
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| a dynamic process and view of health; a move toward optimal functioning |
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Definition
| the concept of health has expanded in the past 40 years. what is the phrase that reflects the most narrow description of health? |
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| description of a database |
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Definition
| subjective and objective data gathered from a patient plus the results of any diagnostic studies completed |
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| description of a nursing diagnosis |
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Definition
| a concise description of actual or potential health problems or of wellness stregnths |
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Definition
| which of the four databases concerns mainly one problem |
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| nursing is inherently a transcultural phenomenon. The process ofhelping people involves at least two people having different cultural orientations |
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Definition
| combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patients values and circumstances |
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Definition
| the nurse recognizes patterns and relationships among the data |
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| cultural and linguistic competence |
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| a set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations |
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| professional health care that is culturally sensitive, appropriate, and competent |
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| the nonphysical attributes of a person- the thoughts, communications, actions, beliefs, values, and institutions of a racial, ethnic, religious, or social groups |
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| a condition that is culturally defined |
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| a social group within the social system that claims to possess variable traits such as common geographic origin, migratory status, and religion |
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Definition
| tendency to vew your own way of life as the most desirable, acceptable, or best and to act superior to another culture's lifeways |
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| lay healer in the person's culture apart from the biomedical/scientific health care system |
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| the balance/imbalance of the person, both within ones being and in the outside world |
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| the degree to which a persons lifestyle reflects his or her traditional heritage, whether its american indian, european, asian, african, or hispanic |
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Definition
| the belief in a divine or superhuman power or powers to be obeyed and worshiped as the creator(s) and ruler(s) of the universe; and a system of beliefs, practices, and ethical values |
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Definition
| the process of being raised within a culture and acquiring the characteristics of that group. |
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| Title VI of the Civil Rights Act of 1964 |
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Definition
| a federal law that mandates that when people with limited english proficiency (LEP) seek health care in health care settings sucah as hospitals, nursing homes, clinics, daycare centers, and mental health centers services cannot be denied to them |
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Definition
| a desireable or underirable state of affairs and a universal feature of all cultures |
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| Learned, shared, adapted, dynamic |
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Definition
| What are the 4 basic characterisitics of culture? |
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Definition
| includes germ theory, based on assumption that all events in life have cause and effect |
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| FORCES OF NATURE MUST BE KEPT IN NATURAL BALANCE |
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| supernatural forces dominate |
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| complementary interventions |
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Definition
what are these called? acupuncture, massage, biofeedback, meditation, reflexology
_____________ interventions |
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Definition
| belief in a divine superhuman spirit to be obeyed and worshiped |
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Definition
| The major factor contributing to the need for cultural care nursing is: |
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Definition
| When a nurse understands the cultural context of the patients situation, she is_______ _______. |
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| physical, mental, and spiritual harmony |
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Definition
many of the traditional definitions of health tend to focus on
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Definition
| illness may be described as hot and cold among people of what heritage? |
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Definition
| an amulet mayh be used to protect a person from the: |
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Definition
this term is an example of a culture bound syndrome that has no equivelent from a biomedical scientific perspective
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| understand your own heritage and its basis in cultural values |
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Definition
| The first step to cultural compentency by a nurse is to: |
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Term
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Definition
| using a patients family member, friend, or child as an interpreter for a limited english proficiency patient (LEP) |
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Definition
| imagining that inanimate object (e.g. blood pressure cuff) come alive and have human characteristics |
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Definition
| the use of euphemisms to avoid reality or to hide feelings |
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Definition
| examiner's responce used when the patient's word choice is ambiguous or confusing |
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Definition
| question that asks for specific information; elicit a short, one- or two-word answer. "yes" or "no", or a forced choice |
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Definition
| response in which examiner gives honest feedback about what he or she has seen or felt after observing certain patient action, feeling, or statement |
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Definition
| the use of impersonal speech to put space between the self and a threat |
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Definition
| infantilizing and demeaning language used by health care professional when speaking to an older adult |
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Term
| electronic health recording |
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Definition
| direct computer entry of the patient health record while in the patients presence |
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Definition
| viewing the world from the other persons inner frame of reference while remaining yourself; recognizing and accepting the other person's feelings without criticism |
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Definition
| the tendency to view your own way of life as the most desirable, acceptable, or best and to act in a superior manner to another culture's lifeways |
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Definition
| examiners statements that inform the patient; examiner shares facutal and objective information |
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| examiner's response that encourages the patient to say more, to continue the story. uh huh, go on... |
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Definition
| private room or space with only examiner and patient present |
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Definition
| examiner's statement that is not based on direct observation, but is based on examiner's inference or conclusion; it links events, makes associations, or implies cause |
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Definition
| meeting between the examiner and the patient with the goal of gathering a complete health history |
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Definition
| using medical vocabulary with patient in an exclusionary and paternalistic way |
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Definition
| a question that implies that one answer would be better than another |
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Definition
| message conveyed through body language--- posure, gestures, faical expression, eye contact, touch, and even where one places the chairs |
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Definition
| asks for longer narrative information; unbiased; leaves the person free to answer in any way |
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Definition
| examiners response that echoes the patient's words; repeats part of what patient has just said |
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Definition
| final review of what examiner understands patient has said; condenses facts and presents a survey of how the examiner perceives the health problem or need |
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Definition
| speech used by age 3 or 4 in which three or four word sentences contain only the essential words |
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Term
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Definition
| messages sent through spoken words, vocalizations, tone of voice |
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Term
| 8 items of information that should be communicated to the patient concerning the terms or expectations of the interview |
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Definition
1. time and place of interview/physical
2. introduction of yoursellf and your rold
3.purpose of the interview
4.how long it will take
5.expectation of participation
6.presence of any other people
7.confidentiality and extent limited
8. any costs the patient must pay
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Term
| points to consider when preparing the physical setting for the interview |
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Definition
-ensure privacy for confidentiality
-physical environment: temperature, lighting, noise, seating (equal)
-remove distracting objects
-have equipment/supplies ready |
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Definition
| response that encourages pt to continue with their story |
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Definition
| response that allows thought collection without interruption |
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Definition
| response that encourages ellaboration by repeating part of what the person has said |
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Definition
| response that recognizes a feeling and puts it into words |
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Definition
| response that is used to summarize the patients words |
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Definition
| response of giving the patient you honest feedback |
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Definition
| response that implies cause/links events |
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Definition
| response when you inform the person |
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Definition
| Response of final review of what you understand the person has said during the interview |
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Term
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Definition
| an accurate understanding of the other persons feelings within a communication context is an example of : |
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Term
| spend more time listening to the patient rather than talking |
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Definition
| a good rule for an interview is to: |
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| only if the interviewer knows the person well |
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Definition
| Touch should be used during the interview.... |
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Term
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Definition
| children are usually brought for health care by a parent. at about what age should the interviewer begin to quesiton the child himself regarding presenting symptoms? |
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Term
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Definition
| because of the adolescents developmental level, not all interviewing techniques can be used with them, the two to be avoided are: |
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Definition
| Knowledge of he use of personal space is helpful for the health care provider. personal distance is generally considered to be |
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Term
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Definition
| Mr. B. tells you" everyone here ignores me" you respond, "ignores you?". This technique is called what |
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Term
| the complete health history |
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Definition
| To collect subjective data to provide a complete picture of the person's past and present health to assess his/her lifestyle and/lr record of persons current health problems is the purpose of what |
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Term
| critical characterisitics used to explore each symptom the patient identifies |
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Definition
1-location
2-character/quality
3-quantity/severity
4-timing
5-setting
6-aggravating/relieving factors
7-associated factors
8-patients perception
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Term
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Definition
| statement from patient on why they sought care |
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Term
present health state/illness
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Definition
| health history: the pt's general state of health, or current issue |
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Term
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Definition
| health history: past health events that may affect current health state |
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Definition
| health history: highlights diseases/conditions that pt may be at risk for |
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Definition
| health history: to evaluate past/present health state of each system to double check in case any significant data was omitted. |
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Term
| functional patterns of living |
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Definition
| health history: measures patients self care ability in areas of general health or absence of illness. |
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Term
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Definition
| a graphic family tree that uses symbols to depict the dender, relationship, and age of immediate blood relatives in at least 3 generations |
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Term
| a reason for seeking care |
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Definition
| when reading a medical record, you see the following notation: patient states, I have had a cold for about a week, and now I am having difficulty breathing. This an example of: |
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Term
| you rephrase the same questions later in the interview |
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Definition
| you have reason to quesion the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to: |
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Term
| the newer term incorporates wellness needs |
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Definition
| the statement "reason for seeking care" has replaced the "chief complaint" This change is significant because: |
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Term
| aggravating or relieving factors |
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Definition
| during an intial interview, the examiner says, "mrs. J. tell me what you do when your headaches occur". with this question, the wcaminer is seeking information about: |
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Term
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Definition
| a genogram is useful in showing informatin concisely. it is used specifically for: |
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Term
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Definition
| the evaluation of the past and present health state of each body system |
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Term
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Definition
| the impact of a disease on the daily activites of older adults is referred to as |
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Term
the critical characteristicsof a symptom
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Definition
| The mnemonic PQRSTU is helpful for organizing what? |
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Term
| developmental and nutritional history |
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Definition
| What two sections of the child's health history become seperate sections bc of their importance to current health status? |
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Definition
| pondering a deeper meaning beyond the concrete and literal |
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Definition
| concentration, ability to focus on one specific thing |
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Definition
| being aware of ones own existence, feelings andthoughts and being aware of the environment |
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Definition
| an acute confusional changeor loss of consciousnesss and perceptual disturbance, may accompany acute illlness, and usually resolveswhen the underlying cause is treated |
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Definition
| a gradual progresssive process, causing deceased cognitivefunctioneven thought the person is fully conscious and awake and is not reversible |
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Definition
| using the voice to communicate ones thoughts and feelings |
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Definition
| ability to lay down and store experiences and perceptions for later recall |
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Definition
| prolonged display of a persons feelings |
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Definition
| awareness of the objective world in relation to self |
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Definition
| awareness of objects through any of the 5 senses |
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Definition
| what the person thinks---specific ideas, beliefs, the use of words |
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Definition
| the way a person thinks, the logical train of though |
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Definition
| a significant behavioral or psychosocial pattern that is associated with distress or disability and had a signigficant risk of pain, disabiltiy, death, or loss of freedom |
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Term
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Definition
| have a specific organic cause, for example: dementia |
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Term
| psychiatric mental illness |
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Definition
| does not have an established organic cause, Ex: anxiety disorder |
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Definition
| characterized as difficulty, or discomfort in talking with abnormal pitch or volume due to laryngeal disease |
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